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CTRI Number  CTRI/2011/10/002074 [Registered on: 18/10/2011] Trial Registered Prospectively
Last Modified On: 27/01/2012
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Comparative,Randomized Parallel group,Multicentric Prospective Phase III Clinical trial of FDC of Tolperisone Hcl SR 450mg+ Diclofenac sodium SR100mg tablet OD compared with Tolperisone Hcl 150mg tablet TID for 7 Days in Patients Suffering with Acute Non Specific Low Back Pain. 
Scientific Title of Study   Comparative,Randomized Parallel group,Multicentric Prospective Phase III Clinical trial of FDC of Tolperisone Hcl SR 450mg+ Diclofenac sodium SR100mg tablet OD compared with Tolperisone Hcl 150mg tablet TID for 7 Days in Patients Suffering with Acute Non Specific Low Back Pain. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NEX/INV/CT-III/7730/15/05/10  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mohan Pai 
Designation  Medical Director 
Affiliation  Mangalor Heart Centre 
Address  No.8, City Point, Kodialbail, Mangalore.

Bangalore
KARNATAKA
575003
India 
Phone  09845083135  
Fax    
Email  mohanpaik@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Bhatt  
Designation  President & CEO 
Affiliation  NEXUS CLINICAL RESEARCH (INDIA) LTD. 
Address  "Anuj", Plot No 45, 1st Floor, Sector-13, Near D.Y.Patil Stadium, Mumbai-Pune Highway, Nerul-(East), New Mumbai- 400 706. Maharashtra- India.

Raigarh
MAHARASHTRA
400706
India 
Phone  022-27714204  
Fax    
Email  dramit.bhatt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Gautam Saranath 
Designation  General Manager 
Affiliation  Inventia Healthcare Pvt Ltd. 
Address  Inventia Health care Pvt. Ltd. 505, VIP plaza, Veera Industrial Estate, Link Road, Andheri (W), Mumbai -400053.

Mumbai (Suburban)
MAHARASHTRA
400053
India 
Phone  91-9987547061  
Fax    
Email  gautam.saranath@inventiahealthcare.com  
 
Source of Monetary or Material Support  
Inventia Health care Pvt. Ltd. 
 
Primary Sponsor  
Name  Inventia Health care Pvt Ltd 
Address  Inventia Health care Pvt. Ltd. 505, VIP plaza, Veera Industrial Estate, Link Road, Andheri (W), Mumbai -400053.  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 7  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tarsem Motten  Govt. Medical College & Hospital  Registrar Department of Orthopedic Govt Medical College & Hospital Jammu
Jammu
JAMMU & KASHMIR 
09419101542

drtarsemmoten@yahoo.in 
DR RAHUL NEHRA  Hope Hospital  200, W.K.ROAD, MEERUT (U.P).
Meerut
UTTAR PRADESH 
09837052678

rahulnehra2001@yahoo.co.in 
Dr Kishor Kadu  Jeevandeep Hospital  Rajendra Colony-Prashant Nagar Road, Amravati- 444606.
Amravati
MAHARASHTRA 
9822590918

drkishor.kadu@gmail.com 
DR KMOHAN PAI   MANGLORE HEART CENTER  NO. 8, CITY POINT, KODIALBAIL, MANGALORE- 575003.
Bangalore
KARNATAKA 
09845083135

mohanpaik@rediffmail.com 
DR DEEPAK BHAMBE  NARENDRA PRAKASH HEALTHCARE CENTER  DA-3/A, MAIN SHAKAR PUR, OPP NATHU SWEETS, BEHIND POLICE BOOTH, LAXMINAGAR, DELHI-110092.
New Delhi
DELHI 
09654807949

dr.deepakbhambe@gmail.com 
DR VINOD KOLHE  SHRIKRUPA FRACTURE & ACCIDENTAL HOSPITAL  NEAR POLICE STATION, AKOLA ROAD, AKOT.
Akola
MAHARASHTRA 
9881724232

drvkolhe@yahoomail.com 
Dr Tanuraj Sirohi   Sirohi Clinic  Opp. Chetan Medical Complex, Chippi Tank, Meerut.
Meerut
UTTAR PRADESH 
09837020820

trsirohi@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Central Independent Ethics Comittee Clinical Research (India)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Acute Non Specific Low Back Pain,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fixed Dose Combination of Tolperisone HCl SR + Diclofenac Sodium SR   Fixed Dose Combination of Tolperisone HCl SR 450 mg + Diclofenac Sodium SR 100mg OD for seven days 
Comparator Agent  Tolperisone Hcl  Tolperisone Hcl 150 mg tablet TID for seven days. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Non specific low back pain with an acute episode of recent onset (48 hours) defined by average pain within the last 24 hours equal or more than grade 4 on the Visual Analogue Scale (VAS)
Low back pain of diagnosis category 1 (low back pain radiating no farther than the intergluteal fold) or 2 (low back pain radiating no farther than the knee), as defined by the International Paris Task Force on Back Pain
Willing to give written informed consent
 
 
ExclusionCriteria 
Details  Low back pain due to vertebral collapse or of no mechanical origin (suspected by history taking and physical examination), such as neoplasm, infection or inflammatory disorder.,
Low back pain of diagnosis category 3 (low back pain radiating beyond the knee, with no neurologic signs) or 4 (low back pain radiating to a precise and entire leg dermatome, with or without neurologic signs), as defined by the International Paris Task Force on Back Pain.
History of inflammatory arthritis of large joints.
History of seizure disorders.
History of malignant tumor.
Treatment with steroidal agents (including aspirin) during the two days prior to prospective inclusion, prolonged used of corticosteroids.
Treatment with NSAIDs or muscle relaxant or opioid analgesics within 3 days of admission.
Psychiatric or mental diseases.
Immune Compromised HIV.
Inclusion in another study in the past six months or previous inclusion in this study.
History of alcohol, drugs or narcotics abuse.
Recent history of violent trauma.
Constant progressive, non mechanical pain (no relief with bed rest).
Thoracic pain.
Patient systemically unwell.
Unexplained weight loss.
Widespread neurological symptoms (including Cauda equine syndrome).
Structural deformity.
Fever.
Clinical significant renal dysfunction defined by Creatinine 1.5µmol/L.
Clinically significant hepatic dysfunction defined by:
Total Bilirubin 2 µmol/L.
SGOT (AST) 1.5 U/L.
SGPT (ALT) 1.5 U/L.
Patients who have received other therapy (physiotherapy, physical manipulations, invasive intervention, acupuncture therapy.) within the last 48 hours.
Pregnancy, breast feeding or women of childbearing potential not using efficient contraception.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To demonstrate the superiority of the SR of fixed - combination of a muscle relaxant, Tolperisone Hcl 450mg and non steroidal anti-inflammatory drug, Diclofenac sodium 100mg, over oral Tolperisone Hcl 150mg tablet as single drug therapy, on average pain and mobility within the last 24 hours in adults suffering from acute non specific low back pain with an episode of recent onset.  DAY -1 DAY 1 DAY 4 DAY 7
 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the safety of the oral FDC of Tolperisone Hcl + Diclofenac Sodium, to that of Tolperisone Hcl.  DAY -1 DAY 1 DAY 4 DAY 7
 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   20/10/2011 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

The study will be conducted after obtaining written informed consent from the subjects. The subjects will undergo medical screening during pre-study visit (Visit 1). Screening will include complete clinical evaluation (medical history, physical examination, record of height, weight and vital signs). Female volunteers of child bearing capability will be subjected to a urine pregnancy test.

Enrolled subjects will receive the medication for 4 days (visit 2), at visit 3 efficacy and ADR evaluation will be done. At day7 (visit 4) end of therapy efficacy, safety, tolerability and ADR monitoring will be done. Subjects are allowed to visit to investigator at any time point during the study. 
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